Baron Bonanza Pilot Training | Register for a Clinic

Name*

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Address*

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Email*

Daytime Phone*

Cell Phone

Sharing your cell phone number with us is important as it may help us communicate with you during a Clinic

Clinic Information

Virtual Initial and Recurrent Ground School
Friday, February 26, 2021 [9 am to 4 pm ET]
In-person Flight @ Lakeland, FL with a BPT Certified Instructor

Saturday, February 27

8 am – 1 pm ET
1:30 pm – 5:30 pm ET

Sunday, February 28, 2021

8 am – 1 pm ET
1:30 pm – 5:30 pm ET

In-Person “Fly Later” with a BPT Certified instructor
Time and date, TBD at your choosing

How many BPT (or similar) weekend clinics have you previously attended?

Please enter a number from 0 to 30.

Pilot Registration for BPT Lakeland Hybrid Clinic 2021*

Online Ground School [$500]
Fly at Lakeland and Online Ground School [$1195]
Fly at local airport and Online Ground School [$995]

Aircraft Information

Aircraft Type

Aircraft N#*

Year aircraft built

Dual Controls?*

Yes - dual control yoke
No - single control yoke

Turbocharged/Turbonormalized?

Yes

Allison Turboprop?

Yes

What GPS, Autopilot, MFD or other special equipment does your aircraft have?

Are you sharing an aircraft with another attendee? If so please provide his/her name

Please answer the following questions about your flight time

Estimated total time*

Bonanza time

Baron/Travel Air/Duchess time

Duke time

Are you instrument rated?*

Yes
No

Pilot Certificate Number*

Insurance & Documents we must receive from you before your flight:

Certificate of Insurance naming BPT Inc. as an additional insured WITH a waiver of subrogation, and a Hold Harmless Agreement

The above should be sent to our insurance manager:

Pam Bailey
Email: registrar@pbpt.org

Cancellation Policy

The Online Ground School fee is non-refundable. If you are unable to view the Online Ground School when scheduled, you may watch the recorded video at a later date. When you are assigned an instructor with a flight date and time, your credit card will be charged and is thereafter non-refundable. If you cannot fly at the assigned time, you will have one year to complete a flight.

Phone

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Register for the BPT 2021 Lakeland [KLAL] “Hybrid” Clinic”

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Hybrid Clinic Registration Form

Clinic Information

Aircraft Information

Please answer the following questions about your flight time

Insurance & Documents we must receive from you before your flight:

Cancellation Policy